Experience is the best teacher - and no one has more relevant experience
managing health plans than the people who first applied managed care
principles to Medicaid programs more than 20 years ago.

We apply that experience every day - managing health plans that range from
state Medicaid and Medicare programs to employer self-funded health plans as
well as behavioral and commercial health plans. We also provide consulting
services for health plan owners and government agencies. Our CONTACT
Behavioral Health Services has provided counseling and employee assistance
programs for more than 25 years. Our approach to managed behavioral health
care and integration of physical and behavioral health allows us to determine
the most effective approach to improve health outcomes for the people we serve.

We put our experience to work serving health plans, members and providers in
seven states, serving more than 1.3 million people. We work to provide plan
members with the right care at the right time - resulting in better health
outcomes and controlled costs.

We track revenue-enhancing and money-saving opportunities, such as funds due
to a health plan by government entities, reinsurance contracts, third-party
liability and cost avoidance. In addition, we negotiate rates on behalf of
managed health plans and accurately determine premium rates for commercial
benefit packages according to each plan's cost structure.

What we provide:
Service makes Schaller Anderson stand apart. Our programs are designed to
provide efficiencies for health plan owners, reliable responses to network
physicians and effective care for plan members:

  • Full health plan management
  • Medical management - including case management, prior authorization, utilization review, disease management
  • Managed behavioral health care, including full carve-out services, substance abuse services, crisis intervention, employee assistance programs
  • Predictive modeling
  • Member services, including a call center open 24 hours a day, seven days a week
  • Provider network development, contracting and management
  • Claims processing
  • Financial reporting and analysis
  • Information technology implementation
  • Compliance management
  • Actuarial services

We're known for:

  • Improved health outcomes for the populations served
  • Integration of medical management, finance and operations
  • Proven solutions
  • Experienced staff
  • Information analysis
  • Competitive costs
  • Excellent service
  • The ability to enhance the mission of the client's health systems